Individual
MR. LARRY BERNARD CHASIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 COUNTY RD, CRESSKILL, NJ 07626-2200
(201) 567-5609
Mailing address
155 COUNTY RD, CRESSKILL, NJ 07626-2200
(201) 567-5609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
003236 1
NY
103TC0700X
Clinical Psychologist
Primary
355100082200
NJ
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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